Feeling Quilty but still Feeling Ill =(

Welp I still have this sinus sick thing going on. If it lasts another day I may go to the docs for antibiotics. But I hate to go to the docs lol soooo we'll see.

But I just called out for tonight again and I feel guilty as heck. Why? Because I know that by my not being there that the other nurses may have to pick up the slack. So I feel bad. BUT when I start feeling too badly I remind myself of the other night and almost not getting sent home at 5am because basically they forgot I was sick. I guess. You other nurses know how it is in the real world. They shouldn't want you there Ill, but they don't mind it if you push yourself harder; because they want your warm body there. It just doesn't work like that in the corporate world does it? Oh well. So I'm home tonight. Poor hubby. He said I was snoring like a Beast last night lol. I'm so clogged up.

But on a brighter note I wanted to share a neat birth story from a few nights ago. As you all know I'm relatively new to the L&D dept. Its been about 8 months now. And I've learned so much. I truly love my job. Especially the laboring moms. It's my fave. bit about my job.

So this night I sent my pt. to the OB ward and for a moment didn't have a patient. Yeah for a Minute lol. Charge nurse assigns me a mom laboring stuck at 9.5 cms. Just a lip left on her cervix. But you don't really want to push with a lip. Can cause all kinds of nasty swelling. So they had sitting straight up in the bed. She was Not a happy camper when I came into her room. She asked how long would she have to wait before pushing. So I checked her. Newp. Still had that darn lip. She almost cried...I felt bad, but told her we'd just try sitting for a bit more and I gave her an Epidural (PCA) bolus.

I left her for an hour and she didn't call out. So I went in and checked her again. Ick still had the lip. Now I thought for a few minutes and said "lets try some trial pushing". I knew that it might be possible to help streach the lip over the baby's head if she pushed effectively. So we pushed for about 20 mins. Now I didn't say anything to her but I felt lots of Capet. That's the skin at the top of the babys head that sometimes gives them a conehead because of prolonged pushing. The baby's head was very soft and pointy. I tell her to keep pushing and I'll be right back. I'm thinking to myself all the way to the desk about the situation. I knew I had to call the MD. I spoke with the resident at the desk about it and asked if this could do harm to the baby. Newp she said. Just makes em pointy lol. Then I call the MD. I tell him that I'm not sure she's really moving the baby down, and I feel lots of Capet. He says "Well she's had adequate time to prove herself. Just set her up for a section. Call me back when you know the OR is ready. Byeee!"
I hang up and think. Hhmp! So you think I'm going into this room and tell this 19yr old girl her doc said its section time for her? I tell the Charge nurse but go back and we resume pushing.

Well don't you know it. She makes progress!! I can fell the baby's head closer now and it feels rounder. Goood! So I put the nurses light on and tell them to call the doc but tell him we're delivering via vagina (not in so many words lol).

We push and push!! I can really feel baby moving now, and can see the famous perineal bulging that means the baby's head is very close to delivery. I know call out for Resident standby.

Pushhhhhhh!! Come on girl pushhhh!! THEN. Baby is def. crowning. As I reach for the sterile drape to support her perineum her doctor walks in. "You just made it in time" I say to him. He chuckles. Baby is born about 4 pushes later.

So I felt so good about this. I could of just had her stop pushing and let him come in and section her. But something in my gut (gotten always listen to your gut) made me want to try harder.

Personally, I feel as if I saved her from a section. I mean her doctor couldn't even be bothered to come in and check her himself. He was basically leaving it all to me to evaluate.

Well doesn't matter. I still feel like I helped her avoid getting cut. I know I did. And that was a defining moment for me.

I love my job =)

Just Do It!

Show me Yours!

http://shuttersisters.com/

Yeah well I have to work anyway...

BooHoo. Here I am. At work. Feeling icky sicky but was too late to call in. Plus, they really frown on you calling in sick much at All in the hospital where I work. If you miss more than a few days during a period of time; they make it an infraction. Yeah you're in trouble. So I try not to call off.
But I've felt sorta odd all day. My throats dry and scratchy and I have a dry cough. I know its my sinus's cause its really irritating the heck out of the back of my throat. Hmmm. So I am here for 12 hrs. Then 12 x 2 again before I get a day off.

Blah.

I blame that darn Michelle (who's last name will remain a secret) cause she worked the other night sick as a Dawg and I was near her.

Yip.

So that's it. I don't feel well. Just wanted to let you know. Gifts would be appreciated hehe!!

Superhero Photo Challenge: The leaf perspective

Today's challenge at ShutterSisters was to take photo's at ground level. You get a neat perspective when down on the ground. You can't even really focus properly. So it's neat to see the beauty that comes thru anyway...here are my photo's today.

A Wee Bit of Heaven

Breakthrough Day!

Gosh!! Is it windy where you are? We're in the middle of some weird storm with high gales. I mean the tree's on my property are bending over! I hope they don't break. Esp. my Tree of Life =).

So I've stayed in today and worked on my photo's. I had a bit of post processing breakthrough and I wanted to share a small bit of it with you.

Here is my granddaughter Madilynn without the splotchy baby acne =)

And her darling sister Hailey =)

I Could just Scream!

Aghhh. I did the unthinkable. I went to my daughter's to take photo's of her precious little girls and forgot to check my camera settings. So when I downloaded the photo's I did get to my PC and took a quick look I saw how rough they looked. ISO 800.

And I did another BAD thing. I didn't charge my battery. Didn't think I needed to. And so halfway thru my session the camera shut OFF.

So remember. Check your battery and setting before doing any photo work. Always. Even when you don't think you need to.

I might be redeemed tomorrow. I'm going back to take some more pics. I'll let you know how they come out.

Keep Trusting Your Instincts

Lesson learned the other night. Listen to your heart.

Woman comes up from triage at 2cms BUT very uncomfortable. After about 45 mins I am able to get the anesth. doc to give her an epidural on her request. No relief. None. Hmmm. She had just been checked downstairs. She was a Primps. First time mommy. So you would not expect anything to happen quickly...

I am sent home early because of quiet night. It's 3:30am. I go into my moms room and take out a pair of sterile gloves. I wanted to check her before leaving...just in case there has been progress. Charge Nurse with 25 or more yrs experience comes in the room and says.. "what are you doing?" I explain I was going to check her. "Newp don't. She's probably 4cms". This Charge nurse is Very bossy and intimidating and when she tells you Don't, well you don't lol.

I start giving report to the oncoming nurse Jen. I see her strip out of the corner of my eye. There are little humps on her contractions. That means pushing is happening. Hmm. "Jen look". I explain to her what happened with bossychargenurse. But I say to Jen. "I just have this feeling...lets go in together. You check her. But I want to know before I leave."

Well Jen introduces herself and pulls her gloves on. You Had to be there to see the look on her face as she sweeps her fingers around the cervix. Yip. You guessed it. There is NO cervix lol. And when Jen says "look" and points to the perineum...I see hair!

So we jump into action. Call the Primary doc and get the resident there asap!

So this primps mom went from 2cms to 10cms in about an hour and a half. Unheard of..but sometimes happens.

I looked at meanchargebossynurse as I clocked out but didn't say anything. I knew it. I should of stood up to meanbossyintimadatingchargenurse. But I doubted myself.Not again I won't. I will keep learning to trust my instincts.

Even tho I'm a newbie. =)

I Love My Bed!!

Well I've had 4 days off.

Which means 4 nights of sleep! I go back in tonight at 7pm and work tonight and tomorrow night. I love some things about working at night...ie: no management lol.

I love the women I work with. And the more laid back feeling. But I love my bed.

Hubby laughed at me last night as I tucked my feet into my cold sheets. I said.."Mmm I Love my Bed!!". He said "yes you do don't you." Don't know why I said it. Just felt so good. Cold sheets again'st my skin. Window open a bit to let the cold night air in. Somehow it's just about perfection! Working nights makes me appreciate my nights I get to sleep even more.

I love my bed!